A Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Inebilizumab in Children With Generalized Myasthenia Gravis (gMG)

Study Purpose

The primary objectives of this study are to characterize the pharmacokinetics (PK) and pharmacodynamics (PD) of inebilizumab administered in pediatric participants with gMG, and to assess the safety and tolerability of inebilizumab administered in pediatric participants with gMG.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 2 Years - 18 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria.

  • - Participant's legally authorized representative has provided informed consent when the participant is legally too young to provide informed consent and the participant has provided written assent based on local regulations and/or guidelines before any study-specific activities/procedures being initiated.
  • - Age ≥ 2 to < 18 years of age.
  • - Diagnosis of gMG defined as: - Positive serologic test for anti-acetylcholine receptor (AChR) or anti-muscle-specific tyrosine kinase (MuSK) antibody (Ab) titers as confirmed at screening (1 retest allowed), and.
  • - At least 1 of the following: - History of abnormal neuromuscular transmission test results demonstrated by single-fiber electromyography or repetitive nerve stimulation; or.
  • - History of positive anticholinesterase test (eg, edrophonium chloride test); or.
  • - Participant demonstrated improvement in gMG signs on oral cholinesterase inhibitors, as assessed by the treating physician; or.
  • - Clinical syndrome consistent with a diagnosis of gMG, and not otherwise explained by another condition.
  • - Myasthenia Gravis Foundation of America Clinical Classification Class II, III, or IV at the time of screening.
  • - Quantitative Myasthenia Gravis score of 11 or greater at screening.
  • - Participants may enter the study on: - Corticosteroids only, with no dose increase within 4 weeks prior to screening, or.
  • - One allowed non-steroidal immunosuppressive therapies (IST) (azathioprine, mycophenolate mofetil, or mycophenolic acid) with continuous use for at least 6 months prior to screening and no dose increase within 4 months prior to screening, or.
  • - Combination of (1) corticosteroids with no dose increase within 4 weeks prior to screening and (2) one allowed non-steroidal IST with continuous use for at least 6 months prior to screening and no dose increase within 4 months prior to screening.
  • - Participants may enter the study on a stable dose of acetylcholinesterase inhibitors (pyridostigmine dose).
The acetylcholinesterase inhibitor dose must have been stable for at least 2 weeks prior to enrollment.
  • - Vital signs and laboratory parameters within the normal ranges at screening, or, if outside normal ranges, deemed not clinically significant by the investigator.
Exclusion Criteria.
  • - Thymectomy within 12 months prior to baseline (Day 1) visit or planned thymectomy during the duration of the treatment period.
  • - Unresected thymoma- Participants with benign thymoma resected > 12 months prior to screening may enroll.
  • - History of recurrent significant infections.
  • - Known immunodeficiency disorder, including current infection or positive test for human immunodeficiency virus (HIV).
  • - Positive test for chronic hepatitis B infection at screening.
  • - History of untreated hepatitis C infection, or positive antibody test for hepatitis C virus (HCV).
  • - History of active or latent tuberculosis (TB), or a positive QuantiFERON®-TB Gold test at screening, unless treatment for TB was completed per local guidelines.
  • - Receipt of any biologic B-cell-depleting therapy (eg, rituximab, ocrelizumab, obinutuzumab, ofatumumab, inebilizumab) or any experimental B-cell-depleting agent in the 6 months prior to screening.
  • - Receipt of any other monoclonal antibody (mAb) or large molecule biologic, including but not limited to FcRn inhibitors, anti-TNF mAbs, anti-janus kinase (JAK) Stat mAbs, and complement inhibitors within 6 months prior to screening.
  • - Participants who are pregnant or breastfeeding or planning to get pregnant.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06987539
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Amgen
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

MD
Principal Investigator Affiliation Amgen
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Not yet recruiting
Countries
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Generalized Myasthenia Gravis
Study Website: View Trial Website
Arms & Interventions

Arms

Experimental: Inebilizumab

Inebilizumab will be administered intravenously (IV).

Interventions

Drug: - Inebilizumab

Inebilizumab will be administered IV.

Contact Information

This trial has no sites locations listed at this time. If you are interested in learning more, you can contact the trial's primary contact:

Amgen Call Center

[email protected]

866-572-6436

For additional contact information, you can also visit the trial on clinicaltrials.gov.

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